Female Urology - Grand Journal of Urology

Female Urology

Original Article

Grand J Urol 2021;1(3):083-088, DOI: 10.5222/GJU.2021.03511

Our Minimally Invasive Sacrocolpopexy Experiences in Pelvic Organ Prolapse Treatment

Kamil Gokhan Seker, Emre Sam, Yusuf Arikan, Ahmet Haciislamoglu, Abdulmuttalip Simsek, Volkan Tugcu

Objective: We aimed to evaluate the results of our minimally invasive (laparoscopic and robotic) sacrocolpopexy operations in patients with pelvic organ prolapse (POP). Materials and Methods: Demographic characteristics, intraoperative and postoperative data of 15 patients for whom we applied laparoscopic or robotic sacrocolpopexy due to symptomatic Grade 2 or higher apical POP based on POP-Q classification between September 2014 and September 2018. Treatment success was defined as Grade 0 or 1 POP in POP examination in the final surveillance. Results: Mean age of the patients was 60.4 ± 8.3 (49-82) years. Four patients (26.7%) were operated using robotic and eleven patients (73.3%) using laparoscopic methods. Uterus conservative surgery was applied in all patients excluding one. Mean operative time was 183.3 ± 21.4 (145-220) minutes and mean hospital stay of the patients was 2.8 ± 0.7 (2-4) days. Intraoperative and postoperative complications developed in a total of two patients (13.3%). Mean duration of follow-up was calculated as 12.1 ± 4.8 (8-24) months. De novo urgency urinary incontinence developed in two patients and stress incontinence in one patient. Based on the physical examination in the follow-ups, 14 patients (93.3%) had Grade 0 and one patient had (6.7%) asymptomatic Grade 2 anterior POP. Conclusion: Minimally invasive sacrocolpopexy is an efficient and safe surgical option for prolapse repair in symptomatic advanced stage POP cases.

Grand J Urol 2022;2(3):108-113, DOI: 10.5505/GJU.2022.99608

Frequency of Hydroureteronephrosis in Patients with Pelvic Organ Prolapse and the Effect of Hydronephrosis on Urodynamic Parameters

Fidan Aslanova, Ece Bahceci, Keziban Dogan, Levent Yasar, Murat Ekin

Objective: This study aims to evaluate the frequency of hydronephrosis and the effect of hydronephrosis on urodynamic parameters in patients with advanced-stage pelvic organ prolapse (POP). Materials and Methods: This retrospective cross-sectional study was conducted between July 2019 - February 2020 with 66 patients who were admitted to the urogynecology outpatient clinic with symptomatic advanced-stage POP. Urinary system ultrasonography and urodynamic examination were performed on all patients before the operation. The severity of prolapse in the study population was evaluated using the POP-Q system. Urinary system ultrasonography was performed by radiologists. Demographic data, POP time, and urodynamic parameters were compared in hydronephrosis and non-hydronephrosis cases. Results: The general frequency of hydronephrosis among the patients was 19.7% (13/66 patients). It was found that the weight (p= 0.0001) and body mass index (p= 0.004) levels were higher in patients with hydronephrosis. There was no significant difference in the duration of POP, the presence of detrusor overactivity, and other urodynamic parameters in patients with or without hydronephrosis. Conclusion: There was no relationship found between hydronephrosis and urodynamic parameters. In line with these data, urinary system ultrasonography is recommended for all patients with POP due to the high frequency of hydronephrosis and the consequences of hydronephrosis leading to renal failure.

Case Report

Grand J Urol 2021;1(1):30-32, DOI: 10.5222/GJU.2021.65375

A Cause of Recurrent Urinary Retention in Pregnancy; Retroverted Uterus: Case Report

Mehmet Sevim, Baris Sengul, Okan Alkis, Bekir Aras, Sahin Kabay

Acute urinary retention is one of the most common situations encountered in urological emergencies. It is more frequently seen in older men. Acute urinary retention in pregnant women is a rare condition but it may cause abortus, preterm labor and rarely uterine ischemia. It is very difficult to reveal the causes of acute urinary retention in pregnant women. One of them is acute urinary retention due to retroverted uterus which is observed in 11% of pregnant women. In this case, we discussed a young pregnant patient who presented to our outpatient clinic with complaints of recurrent urinary retention due to retroverted uterus.